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Interações medicamentosas

Amitriptyline + Dicyclomine

Gravidade: Moderada

Amitriptyline and Dicyclomine: moderate interaction.

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Resumo

Both drugs have antimuscarinic activity, so combined use increases the risk of dry mouth, constipation, urinary retention, blurred vision and confusion. Older adults and those with glaucoma, prostatic enlargement or ileus are at particular risk.

O que esta interação significa em palavras simples

Amitriptyline and Dicyclomine can affect each other. The combination is often manageable, but it may need a change of dose, a change of timing, or extra checks while both are taken.

Amitriptyline belongs to Central Nervous System; Dicyclomine belongs to Respiratory.

Nível de evidência: High

Por que acontece

Additive muscarinic receptor blockade.

O que fazer

Monitor for anticholinergic effects, and consider a lower dose or an alternative with less antimuscarinic activity in older patients. Avoid in patients with urinary retention, narrow-angle glaucoma or ileus.

O que perguntar ao farmacêutico

  • Should I take them at different times of day?
  • Does the dose of either medicine need to change?
  • Is there anything I should avoid, such as alcohol or certain foods, while on both?

Bring a full list of your medicines, including over-the-counter products, supplements and herbal remedies, to every pharmacy visit.

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Perguntas frequentes

Can I take Amitriptyline with Dicyclomine?

MediHelp rates the interaction as moderate. Amitriptyline and Dicyclomine can affect each other. The combination is often manageable, but it may need a change of dose, a change of timing, or extra checks while both are taken. Both drugs have antimuscarinic activity, so combined use increases the risk of dry mouth, constipation, urinary retention, blurred vision and confusion. Older adults and those with glaucoma, prostatic enlargement or ileus are at particular risk.

How serious is the interaction between Amitriptyline and Dicyclomine?

MediHelp rates it moderate, on a four-level scale (minor, moderate, major, contraindicated) based on published labels and references. What to do, in brief: Monitor for anticholinergic effects, and consider a lower dose or an alternative with less antimuscarinic activity in older patients. Avoid in patients with urinary retention, narrow-angle glaucoma or ileus.

What other medicines interact with Dicyclomine?

MediHelp also lists interactions of Dicyclomine with, for example, Clozapine, Henbane, Imipramine. The full list is on the Dicyclomine page.

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